Southeastern Cardiology

NPI #1396944633 in Vidalia, Georgia

Provider Information

NPI Number: 1396944633
Entity Type: Organization
Organization Name: Southeastern Cardiology
Primary Specialty: Internal Medicine - Cardiovascular Disease
Enumeration Date: Jul 17, 2007
Last Updated: Jul 17, 2007

Practice Location

Address: 1811 EDWINA DR
City: Vidalia
State: Georgia
ZIP Code: 30474-8963
Phone: (912) 537-8988

Authorized Official

Name: MRS. DEBORAH GRACE ELLIOTT-SMITH, RN
Title: PRACTICE MANAGER
Phone: (912) 537-8988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Martha Smith, MD	Internal Medicine - Cardiovascular Disease	Vidalia	AI Deep Dive
Jaime Burkle, MD	Internal Medicine - Cardiovascular Disease	Gainesville	AI Deep Dive
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DR. Walter Edward Mashman, MD	Internal Medicine - Cardiovascular Disease	Atlanta	AI Deep Dive

Organizations

Provider Name	Specialty	City
Southeast Regional Primary Care Corporation	Internal Medicine - Cardiovascular Disease	Vidalia	AI Deep Dive

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